Phenylephrine Induced Posterior Reversible Encephalopathy Syndrome during Resection of Solitary Pulmonary Nodule
Journal of Neurocritical Care
;
(2): 32-35, 2017.
Artículo
en Coreano
| WPRIM
| ID: wpr-765871
ABSTRACT
BACKGROUND:
Posterior reversible encephalopathy syndrome (PRES) is a neurological complication caused by cerebral hyperperfusion. CASE REPORT A 46-year-old male presented with decreased mental status, left facial palsy, and left-sided weakness after video-assisted thoracoscopic surgery for a solitary pulmonary nodule. During the surgery, phenylephrine was infused intravenously for general anesthesia-induced hypotension. High signal intensity at the right parietooccipital lobe was noted on fluid-attenuated inversion recovering imaging and diffusion-weighted imaging. His neurological symptoms improved two days after initial presentation. Follow-up diffusion-weighted imaging showed resolution of the brain lesions 10 days after the surgery.CONCLUSIONS:
We report a patient who presented with PRES after administration of phenylephrine during resection of a solitary pulmonary nodule. PRES should be considered for patients presented with acute neurologic symptoms following surgical procedures.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Fenilefrina
/
Encéfalo
/
Estudios de Seguimiento
/
Nódulo Pulmonar Solitario
/
Cirugía Torácica Asistida por Video
/
Parálisis Facial
/
Síndrome de Leucoencefalopatía Posterior
/
Hipertensión
/
Hipotensión
/
Manifestaciones Neurológicas
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Journal of Neurocritical Care
Año:
2017
Tipo del documento:
Artículo
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